“…As previously described, malnutrition affects 50% of patients with H&NC [ 36 ] and more than 20% are classified as severe [ 32 , 37 ], leading to high rates of treatment complications and poor response, increasing the risk of delayed wound healing, infections, and deleterious effect on HRQoL [ 32 , 33 , 38 ]. In the specific EORTC QLQ-H&N35 module, the scales mainly affected are pain, swallowing, sense problem, trouble with social eating, teeth, opening mouth, dry mouth, sticky saliva, felt ill, pain killers, and nutritional supplements, all with higher scores for the low-PA group than the normal-PA group.…”